Kidco HearthGate G70d - Manual (Page 15)

Method of Payment
METHOD OF PAYMENT Please do not send cash.
Check/Money Order enclosed (Payable to: KidCo, Inc.)
VISA (13 or 16 digits) Mastercard (16 Digits)
Mo. Yr.
Credit card account number Expiration date (required)
Signature of cardholder Date
Please print name of cardholder
Name Day time phone no.
Street address Unit
City State Zip
15
Order amount $
Shipping & handling $
Total $
1013 Technology Way
Libertyville, IL 60048-5349
SHIPPING AND HANDLING CHARGES
If order includes wall covers, lock fittings,
wall plates or vertical bars, add $8.00.
All others add $5.00.